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Old and Sick in America
Muriel R. Gillick
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The University of North Carolina Press 
Naturwissenschaften, Medizin, Informatik, Technik / Medizin
Beschreibung
Since the introduction of Medicare and Medicaid in 1965, the American health care system has steadily grown in size and complexity. Muriel R. Gillick takes readers on a narrative tour of American health care, incorporating the stories of older patients as they travel from the doctor's office to the hospital to the skilled nursing facility, and examining the influence of forces as diverse as pharmaceutical corporations, device manufacturers, and health insurance companies on their experience. A scholar who has practiced medicine for over thirty years, Gillick offers readers an informed and straightforward view of health care from the ground up, revealing that many crucial medical decisions are based not on what is best for the patient but rather on outside forces, sometimes to the detriment of patient health and quality of life. Gillick suggests a broadly imagined patient-centered reform of the health care system with Medicare as the engine of change, a transformation that would be mediated through accountability, cost-effectiveness, and culture change.
Kundenbewertungen
quality of medical care, medical care of the elderly, health care for the elderly, medical ecosystem, pharmaceutical industry, geriatrics, Aging, complex adaptive system, social determinants of health care, over-treatment, commodification of health care, Medicare, quality of life, medical-industrial complex, physicians, nursing homes, government regulation of health care, office practice of medicine, medical device industry, patient experience of illness, hospitals, end-of-life care, geriatric assessment, history of medicine, palliative care